Organization
ENVISION PHYSICIAN SERVICES LLC
Active
Other names
Preferred Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERIE STEWART STEWART (MANAGER)
(801) 225-7971
Entity
Organization
Contact information
Practice address
1345 W 1600 N, OREM, UT 84057-2431
(801) 317-8099
Mailing address
125 E MAIN ST, SUITE 121, AMERICAN FORK, UT 84003-2407
(801) 225-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/18/2015
Last updated
02/29/2020
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